摘要
Abstract
Objective To study the factors influencing the pelvic organ prolapse in primiparas.Methods A questionnaire survey and a screening of pelvic floor dysfunction among 1086 term primiparas with single birth, who registered in Xiangtan Maternal and Child Health Hospital for postpartum examination from Jan. 2013 to June 2014.Results Postpartum follow-ups from 42 days to three months after delivery showed that different delivery modes had effects on anterior vaginal wall prolapse (P＜0.05):elective cesarean section was less likely to cause anterior vaginal wall prolapse than transvaginal delivery (P＜0.05, OR=0.063, 95％CI 0.031-0.128);cesarean section after trial birth was less likely to casue anterior vaginal wall prolapse (P＜0.05, OR=0.170, 95％CI 0.062-0.469).Different delivery modes had effects on vaginal posterior wall prolapse (P＜0.05):elective cesarean section was less likely to cause vaginal posterior wall prolapse than transvaginal delivery (P＜0.05, OR=0.091, 95％CI 0.046-0.181);cesarean section after trial birth was less likely to casue vaginal posterior wall prolapse (P＜0.05, OR=0.371, 95％CI 0.175-0.787).Besides, differnet delievery modes (P＜0.05) and ages (P=0.042) had effects on uterus prolapse:elective cesarean section was less likely to cause uterus prolapse than transvaginal delivery (P＜0.05, OR=0.385, 95％CI 0.294-0.505);the older the primiparae, the more likely to develop uterus prolapse (P=0.042, OR=1.039, 95％CI 1.001-1.078).Conclusion The main factor to cause anterior vaginal wall prolapse and vaginal posterior wall prolapse is delivery modes, while the main factor to cause uterus prolapse is delivery mode and age.Elective cesarean section and cesarean section after trial birth provide better protection against pelvic organ prolapse than transvaginal delivery.Age can be a risk factor for uterus prolapse.关键词
盆腔器官脱垂/初产妇Key words
pelvic organ prolapse/primipara分类
医药卫生
